<!--content begin-->
	<div class="bh-ly-jj-zhuce bh-padT20 bh-content">
		<?php $form = $this->beginWidget('lib.widgets.CActiveFormAdv')?>
    		<?php echo $form->hiddenField($model,'items.related_id')?>
    		<?php echo $form->hiddenField($model,'items.goods_id')?>
    		<?php echo $form->hiddenField($model,'items.provider_id')?>
    		<?php echo $form->hiddenField($model,'items.dealer_id')?>
    		<?php echo $form->hiddenField($model,'items.item_price')?>
		<div class="bh-page-index-jj">
			<div class="bh-zhhmm-xf">
				<div class="bh-xf-yuding bh-padB30">
					<ul>
						<li><span>预定门票：</span><span><span><?php echo CHtml::value($model, 'items.goods.fullTitle')?></span><?php echo CHtml::value($model, 'items.goods.profile.ticket_type')?></span></li>
						<li><span>产品说明：</span>请持有效身份证件取票入口</li>
						<!--<li class="xf-hanggao"><span>游玩日期：</span><input type="text" class="xf_riqi"/><img src="<?php echo Yii::app()->baseUrl;?>/images/xf_riqi.jpg" /> 您必须提前1天</li>-->
						<li class="xf-hanggao">
						<!--<span class="bh-fr"><?php echo CHtml::value($model, 'items.item_price')?>*1</span>-->
						<span>预订数量：</span>
							<?php echo $form->textField($model, 'items.item_num',array(
								'class'=>'xf_riqi2',
							))?>张
							<?php echo $form->error($model, 'items.item_num');?>
						</li>
						<li class="xf-hengxian"></li>
						<!--<li class="xf-hengxian2"><span class="bh-fr">总计：<b>0元</b></span></li>-->
					</ul>
				</div>
				<div class="bh-qupiaoxinxi">
				<?php echo $this->renderPartial('application.views.partials.order.schedule');?>
				<div class="bh-xf-biankuang">
					<table>
						<tr height="40">
							<td align="right"><span class="bh-ly-biaodan-tishi"></span><?php echo $form->labelEx($model,'receiverInfo.receiver')?>：</td>
							<td colspan="2">
								<?php echo $form->textField($model,'receiverInfo.receiver',array(
									'class'=>'bh-textW',
								))?>
								<?php echo $form->error($model, 'receiverInfo.receiver')?>
							</td>
						</tr>
						<tr height="40">
							<td align="right"><span class="bh-ly-biaodan-tishi"></span><?php echo $form->labelEx($model,'receiverInfo.mobile')?>：</td>
							<td colspan="2">
								<?php echo $form->textField($model,'receiverInfo.mobile',array(
									'class'=>'bh-textW',
								))?>
								<?php echo $form->error($model, 'receiverInfo.mobile')?>
							</td>
						</tr>
						<tr height="40">
							<td align="right"><span class="bh-ly-biaodan-tishi"></span><?php echo $form->labelEx($model,'receiverInfo.email')?>：</td>
							<td colspan="2">
								<?php echo $form->textField($model,'receiverInfo.email',array(
									'class'=>'bh-textW',
								))?>
								<?php echo $form->error($model, 'receiverInfo.email')?>
							</td>
						</tr>
					</table>
					</div>
                    <div class="bh-ly-jj-for01">
                        	<input type="submit" value="同意以下协议并提交订单"class="bh-ly-jj-agree_sub bh-mTop20 bh-strong" name="agree_submit" style="margin-left:318px" />
                            <textarea class="bh-ly-jj-lyOrder_tiaokuan1 bh-mtop10  border_tonyi">1、本投保人兹申明以上述各项内容填写属实。 
                    本投保人已认真阅读并正确理解《平安旅行意外伤害保险条款》各项内容，尤其是有关免除责任的条款。本投保人已经完全获知并认同保险条款、免责、理赔须知等具体内容，并同意接受条款全部内容。
                    
                     2、根据《中华人民共和国合同法》第十一条规定，数据电文是合法的合同表现形式。本人接受以平安养老保险股份有限公司提供的电子保单作为本投保书成立的合法有效凭证，具有完全证据效力。
                    
                     3、本人同意提供给平安集团（指中国平安保险（集团）股份有限公司及其直接或间接控股的公司）的信息
                            </textarea>    
                    </div>
                    <div class="bh-space"></div>
				</div>
			</div>
		</div>
		<div class="bh-space"></div>
		  <?php $this->endWidget()?>
	</div>